PMID- 25758528 OWN - NLM STAT- MEDLINE DCOM- 20160209 LR - 20220409 IS - 2041-1723 (Electronic) IS - 2041-1723 (Linking) VI - 6 DP - 2015 Mar 11 TI - RB loss in resistant EGFR mutant lung adenocarcinomas that transform to small-cell lung cancer. PG - 6377 LID - 10.1038/ncomms7377 [doi] LID - 6377 AB - Tyrosine kinase inhibitors are effective treatments for non-small-cell lung cancers (NSCLCs) with epidermal growth factor receptor (EGFR) mutations. However, relapse typically occurs after an average of 1 year of continuous treatment. A fundamental histological transformation from NSCLC to small-cell lung cancer (SCLC) is observed in a subset of the resistant cancers, but the molecular changes associated with this transformation remain unknown. Analysis of tumour samples and cell lines derived from resistant EGFR mutant patients revealed that Retinoblastoma (RB) is lost in 100% of these SCLC transformed cases, but rarely in those that remain NSCLC. Further, increased neuroendocrine marker and decreased EGFR expression as well as greater sensitivity to BCL2 family inhibition are observed in resistant SCLC transformed cancers compared with resistant NSCLCs. Together, these findings suggest that this subset of resistant cancers ultimately adopt many of the molecular and phenotypic characteristics of classical SCLC. FAU - Niederst, Matthew J AU - Niederst MJ AD - 1] Massachusetts General Hospital Cancer Center, Massachusetts General Hospital, 55 Fruit Street, Boston, Massachusetts 02114, USA [2] Department of Medicine, Harvard Medical School, 25 Shattuck Street, Boston, Massachusetts 02115, USA. FAU - Sequist, Lecia V AU - Sequist LV AD - 1] Massachusetts General Hospital Cancer Center, Massachusetts General Hospital, 55 Fruit Street, Boston, Massachusetts 02114, USA [2] Department of Medicine, Harvard Medical School, 25 Shattuck Street, Boston, Massachusetts 02115, USA. FAU - Poirier, John T AU - Poirier JT AD - Memorial Sloan Kettering Cancer Center, Thoracic Oncology Service, 1275 York Avenue, New York, New York 10065, USA. FAU - Mermel, Craig H AU - Mermel CH AD - 1] Broad Institute of MIT and Harvard, Cancer Genome Comparative Analysis Group, 415 Main Street, Cambridge, Massachusetts 02142, USA [2] Department of Pathology, Massachusetts General Hospital Cancer Center, 55 Fruit Street, Boston, Massachusetts 02114, USA. FAU - Lockerman, Elizabeth L AU - Lockerman EL AD - 1] Massachusetts General Hospital Cancer Center, Massachusetts General Hospital, 55 Fruit Street, Boston, Massachusetts 02114, USA [2] Department of Medicine, Harvard Medical School, 25 Shattuck Street, Boston, Massachusetts 02115, USA. FAU - Garcia, Angel R AU - Garcia AR AD - 1] Massachusetts General Hospital Cancer Center, Massachusetts General Hospital, 55 Fruit Street, Boston, Massachusetts 02114, USA [2] Department of Medicine, Harvard Medical School, 25 Shattuck Street, Boston, Massachusetts 02115, USA. FAU - Katayama, Ryohei AU - Katayama R AD - 1] Massachusetts General Hospital Cancer Center, Massachusetts General Hospital, 55 Fruit Street, Boston, Massachusetts 02114, USA [2] Department of Medicine, Harvard Medical School, 25 Shattuck Street, Boston, Massachusetts 02115, USA. FAU - Costa, Carlotta AU - Costa C AD - 1] Massachusetts General Hospital Cancer Center, Massachusetts General Hospital, 55 Fruit Street, Boston, Massachusetts 02114, USA [2] Department of Medicine, Harvard Medical School, 25 Shattuck Street, Boston, Massachusetts 02115, USA. FAU - Ross, Kenneth N AU - Ross KN AD - 1] Massachusetts General Hospital Cancer Center, Massachusetts General Hospital, 55 Fruit Street, Boston, Massachusetts 02114, USA [2] Department of Medicine, Harvard Medical School, 25 Shattuck Street, Boston, Massachusetts 02115, USA. FAU - Moran, Teresa AU - Moran T AD - 1] Massachusetts General Hospital Cancer Center, Massachusetts General Hospital, 55 Fruit Street, Boston, Massachusetts 02114, USA [2] Department of Medicine, Harvard Medical School, 25 Shattuck Street, Boston, Massachusetts 02115, USA. FAU - Howe, Emily AU - Howe E AD - 1] Massachusetts General Hospital Cancer Center, Massachusetts General Hospital, 55 Fruit Street, Boston, Massachusetts 02114, USA [2] Department of Medicine, Harvard Medical School, 25 Shattuck Street, Boston, Massachusetts 02115, USA. FAU - Fulton, Linnea E AU - Fulton LE AD - 1] Massachusetts General Hospital Cancer Center, Massachusetts General Hospital, 55 Fruit Street, Boston, Massachusetts 02114, USA [2] Department of Medicine, Harvard Medical School, 25 Shattuck Street, Boston, Massachusetts 02115, USA. FAU - Mulvey, Hillary E AU - Mulvey HE AD - 1] Massachusetts General Hospital Cancer Center, Massachusetts General Hospital, 55 Fruit Street, Boston, Massachusetts 02114, USA [2] Department of Medicine, Harvard Medical School, 25 Shattuck Street, Boston, Massachusetts 02115, USA. FAU - Bernardo, Lindsay A AU - Bernardo LA AD - 1] Department of Pathology, Massachusetts General Hospital Cancer Center, 55 Fruit Street, Boston, Massachusetts 02114, USA [2] Department of Pathology, Harvard Medical School, 25 Shattuck Street, Boston, Massachusetts 02115, USA. FAU - Mohamoud, Farhiya AU - Mohamoud F AD - 1] Massachusetts General Hospital Cancer Center, Massachusetts General Hospital, 55 Fruit Street, Boston, Massachusetts 02114, USA [2] Department of Medicine, Harvard Medical School, 25 Shattuck Street, Boston, Massachusetts 02115, USA. FAU - Miyoshi, Norikatsu AU - Miyoshi N AD - 1] Department of Medicine, Harvard Medical School, 25 Shattuck Street, Boston, Massachusetts 02115, USA [2] Molecular Profiling Laboratory, Massachusetts General Hospital Cancer Center, Massachusetts General Hospital, 55 Fruit Street, Boston, Massachusetts 02114, USA. FAU - VanderLaan, Paul A AU - VanderLaan PA AD - Department of Pathology, Beth Israel Deaconess Medical Center, Harvard Medical School, 330 Brookline Avenue, Boston, Massachusetts 02115, USA. FAU - Costa, Daniel B AU - Costa DB AD - Department of Medicine, Division of Hematology/Oncology, Beth Israel Deaconess Medical Center, Harvard Medical School, 330 Brookline Avenue, Boston, Massachusetts 02115, USA. FAU - Janne, Pasi A AU - Janne PA AD - 1] Department of Medical Oncology, Belfer Institute of Applied Science, Dana Farber Cancer Institute, 450 Brookline Avenue, Boston, Massachusetts 02215, USA [2] Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, 75 Francis Street, Boston, Massachusetts 02115, USA. FAU - Borger, Darrell R AU - Borger DR AD - 1] Massachusetts General Hospital Cancer Center, Massachusetts General Hospital, 55 Fruit Street, Boston, Massachusetts 02114, USA [2] Department of Medicine, Harvard Medical School, 25 Shattuck Street, Boston, Massachusetts 02115, USA. FAU - Ramaswamy, Sridhar AU - Ramaswamy S AD - 1] Massachusetts General Hospital Cancer Center, Massachusetts General Hospital, 55 Fruit Street, Boston, Massachusetts 02114, USA [2] Department of Medicine, Harvard Medical School, 25 Shattuck Street, Boston, Massachusetts 02115, USA [3] Broad Institute of MIT and Harvard, Cancer Genome Comparative Analysis Group, 415 Main Street, Cambridge, Massachusetts 02142, USA. FAU - Shioda, Toshi AU - Shioda T AD - 1] Department of Medicine, Harvard Medical School, 25 Shattuck Street, Boston, Massachusetts 02115, USA [2] Molecular Profiling Laboratory, Massachusetts General Hospital Cancer Center, Massachusetts General Hospital, 55 Fruit Street, Boston, Massachusetts 02114, USA. FAU - Iafrate, Anthony J AU - Iafrate AJ AD - 1] Department of Pathology, Massachusetts General Hospital Cancer Center, 55 Fruit Street, Boston, Massachusetts 02114, USA [2] Department of Pathology, Harvard Medical School, 25 Shattuck Street, Boston, Massachusetts 02115, USA. FAU - Getz, Gad AU - Getz G AD - 1] Department of Medicine, Harvard Medical School, 25 Shattuck Street, Boston, Massachusetts 02115, USA [2] Broad Institute of MIT and Harvard, Cancer Genome Comparative Analysis Group, 415 Main Street, Cambridge, Massachusetts 02142, USA [3] Department of Pathology, Massachusetts General Hospital Cancer Center, 55 Fruit Street, Boston, Massachusetts 02114, USA. FAU - Rudin, Charles M AU - Rudin CM AD - Memorial Sloan Kettering Cancer Center, Thoracic Oncology Service, 1275 York Avenue, New York, New York 10065, USA. FAU - Mino-Kenudson, Mari AU - Mino-Kenudson M AD - 1] Department of Pathology, Massachusetts General Hospital Cancer Center, 55 Fruit Street, Boston, Massachusetts 02114, USA [2] Department of Pathology, Harvard Medical School, 25 Shattuck Street, Boston, Massachusetts 02115, USA. FAU - Engelman, Jeffrey A AU - Engelman JA AD - 1] Massachusetts General Hospital Cancer Center, Massachusetts General Hospital, 55 Fruit Street, Boston, Massachusetts 02114, USA [2] Department of Medicine, Harvard Medical School, 25 Shattuck Street, Boston, Massachusetts 02115, USA. LA - eng SI - GEO/GSE64322 SI - GEO/GSE64765 SI - GEO/GSE64766 GR - P50CA090578/CA/NCI NIH HHS/United States GR - R01 CA137008/CA/NCI NIH HHS/United States GR - R01CA137008/CA/NCI NIH HHS/United States GR - P30 CA008748/CA/NCI NIH HHS/United States GR - P50 CA090578/CA/NCI NIH HHS/United States GR - R21 CA156000/CA/NCI NIH HHS/United States GR - 5R21CA156000/CA/NCI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, Non-P.H.S. DEP - 20150311 PL - England TA - Nat Commun JT - Nature communications JID - 101528555 RN - 0 (Aniline Compounds) RN - 0 (Antineoplastic Agents) RN - 0 (BCL2 protein, human) RN - 0 (BCL2L1 protein, human) RN - 0 (Protein Kinase Inhibitors) RN - 0 (Proto-Oncogene Proteins c-bcl-2) RN - 0 (Quinazolines) RN - 0 (Retinoblastoma Protein) RN - 0 (Sulfonamides) RN - 0 (bcl-X Protein) RN - 41UD74L59M (Afatinib) RN - DA87705X9K (Erlotinib Hydrochloride) RN - EC 2.7.10.1 (EGFR protein, human) RN - EC 2.7.10.1 (ErbB Receptors) RN - S65743JHBS (Gefitinib) RN - XKJ5VVK2WD (navitoclax) SB - IM MH - Adenocarcinoma/drug therapy/*genetics/metabolism/pathology MH - Adenocarcinoma of Lung MH - Afatinib MH - Aniline Compounds/pharmacology MH - Antineoplastic Agents/*pharmacology MH - Carcinoma, Non-Small-Cell Lung/drug therapy/*genetics/metabolism/pathology MH - Cell Line, Tumor MH - Disease Progression MH - Drug Resistance, Neoplasm/drug effects/genetics MH - ErbB Receptors/antagonists & inhibitors/deficiency/*genetics MH - Erlotinib Hydrochloride/pharmacology MH - Gefitinib MH - Gene Expression Regulation, Neoplastic MH - Humans MH - Lung/drug effects/metabolism/pathology MH - Lung Neoplasms/drug therapy/*genetics/metabolism/pathology MH - Mutation MH - Protein Kinase Inhibitors/*pharmacology MH - Proto-Oncogene Proteins c-bcl-2/genetics/metabolism MH - Quinazolines/pharmacology MH - Recurrence MH - Retinoblastoma Protein/deficiency/*genetics MH - Signal Transduction MH - Small Cell Lung Carcinoma/drug therapy/*genetics/metabolism/pathology MH - Sulfonamides/pharmacology MH - bcl-X Protein/genetics/metabolism PMC - PMC4357281 MID - NIHMS657704 COIS- J.A.E. is a consultant for Novartis, Sanofi-Aventis, Genentech and Astra Zeneca; owns equity in Gatekeeper Pharmaceuticals, which has interest in T790M inhibitors; is a Scientific Advisory Board member for Sanofi-Aventis; has research agreements with Novartis, Sanofi-Aventis and Astra Zeneca. A.J.I. is a consultant for Pfizer and Bioreference Laboratories. P.A.J. is a consultant for AstraZeneca, Boehringer Ingelheim, Chugai Pharma, Clovis, Genentech, Merrimack Pharmaceuticals, Pfizer and Sanofi; owns stock in Gatekeeper Pharmaceutical; receives other renumeration from LabCorp. C.M.R. has been a recent consultant for AbbVie, Biodesix, Boehringer Ingelheim, Glaxo Smith Kline and Merck regarding cancer drug development. The remaining authors declare no competing financial interests. EDAT- 2015/03/12 06:00 MHDA- 2016/02/10 06:00 PMCR- 2015/04/02 CRDT- 2015/03/12 06:00 PHST- 2014/04/27 00:00 [received] PHST- 2015/01/21 00:00 [accepted] PHST- 2015/03/12 06:00 [entrez] PHST- 2015/03/12 06:00 [pubmed] PHST- 2016/02/10 06:00 [medline] PHST- 2015/04/02 00:00 [pmc-release] AID - ncomms7377 [pii] AID - 10.1038/ncomms7377 [doi] PST - epublish SO - Nat Commun. 2015 Mar 11;6:6377. doi: 10.1038/ncomms7377.